343616406-8-12-2022-03-CC-ASUR-CH8RNG-20220812131020

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343616406
Report Date: 08/12/2022
Date Signed: 08/12/2022 01:10:30 PM

Document Has Been Signed on 08/12/2022 01:10 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	ST. PATRICK SUCCEED ACADEMY PRESCHOOL		FACILITY NUMBER:	343616406
ADMINISTRATOR:	FIFFICK, JULIA		FACILITY TYPE:	850
ADDRESS:	5945 FRANKLIN BLVD		TELEPHONE:	(916) 421-4963
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95824
CAPACITY:	54	CENSUS: 0	DATE:	08/12/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Julia Fiffick		TIME COMPLETED:	01:15 PM

NARRATIVE

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On Friday, August 12, 2022 at 11:30 am, Licensing Program Analyst (LPA) Amanda Sutter met with Director, Julia Fiffick for the purpose of an unannounced required annual inspection. Director stated that there are no children present at the facility. Director stated that the preschool is currently closed due to teacher in service and will reopen on the first day of school next week, 8/15/2022. The facility hours of operation are Monday through Friday from 7:00 AM to 6:00 PM.

LPAs toured two classroom spaces, restroom, and outdoor play area. LPAs observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, and seat belt law. Cleaning disinfectants and hazardous items are appropriately stored and inaccessible to children. Director stated that they do not currently have medication at the facility. Director stated there are no poisons or firearms on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary and operating condition. The program provides a morning and afternoon snack. LPA observed food to be stored and labeled appropriately.

LPAs observed trash bins with tight fitted lids. Drinking water is readily available to children both indoors and outdoors. Director stated that children bring their own water bottles and are refilled at the facility. LPAs observed the facility’s paper sign in and out system. Facility has record of conducting fire drills at least every six months; last fire drill was conducted in June 1, 2022. LPA discussed maintaining playground equipment with director. Director stated that next week, 8/15/2022, the facility will be receiving new bark provide sufficient cushioning. There are sufficient equipment and toys, and there are shaded areas supplied by trees. Children take their water bottles outside.

Four staff and three children's records were reviewed. Both children and staff files were observed to be complete. There is at least one staff member present with a current CPR certificate. LPAs observed a functional smoke detector and fire extinguisher. PAGE 1. REPORT CONTINUES ON LIC809-C

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda Sutter	TELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: ST. PATRICK SUCCEED ACADEMY PRESCHOOL	FACILITY NUMBER: 343616406
	VISIT DATE: 08/12/2022

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LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAS also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Service (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA available at: http://www.ada.gov/childqanda.htm

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

During today’s inspection no deficiencies were observed. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative Julia Fiffick.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda Sutter	TELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022

LIC809 (FAS) - (06/04)

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